Adjustable surgical instrument stringer with pegs, tray system, and method of sterilization

ABSTRACT

An adjustable stringer configured to string the ring handles of one or more surgical instruments, the stringer including two or more rod sections, wherein each rod section is configured to be inserted in one ring handle of the one or more surgical instruments, two or more angle sections, each angle section configured having one or more slidable connector sections, each slidable connector section configured to extend and retract along at least one of the two or more rod sections, and two or more releasable connectors, each releasable connector positioned between two of the two or more angle sections.

PRIORITY CLAIM

To the full extent permitted by law, the present United StatesNon-provisional patent application, is a Divisional application andhereby claims priority to and the full benefit of United StatesNon-provisional Continuation-in-Part application entitled “AdjustableSurgical Instrument Stringer with Pegs, Tray System, and Method ofSterilization”, having assigned Ser. No. 13/761,986, filed on Feb. 7,2013; which is a Continuation-in-Part of United States Non-provisionalapplication entitled “Adjustable Surgical Instrument Stringer, TraySystem, and Method of Sterilization,” having assigned Ser. No.13/570,236, filed on Aug. 8, 2012 (a continuation-in-part of applicationSer. No. 13/284,099, filed on Oct. 28, 2011) and United StatesNon-provisional application entitled “Surgical Instrument Tray Systemand Method of Sterilization,” having assigned Ser. No. 13/284,099, filedon Oct. 28, 2011, incorporated herein by reference in its entirety.

TECHNICAL FIELD

The disclosure generally relates to surgical instrument receptacle,organizational system and, more specifically, is related to a stringerand tray system for retaining a collection of surgical instruments forsterilization, transport and storage.

BACKGROUND

Present day surgical procedures regularly use sets of pre-selectedsurgical instruments for a specified surgical procedure, such as clamps,hemostat, forceps, scissors, retractors, and the like. These instrumentsare regularly grouped together to form a set. The set of surgicalinstruments is stored in a sterilized condition until required forsurgery. Prior to sterilization the set of surgical instruments issubject to a time consuming multi-step sorting, identifying, grouping,cleaning and sterilization process. The set of surgical instruments iscollected post operation, co-mingled in a wire mesh basket or holed trayfor transport to the central sterile processing area. Next, the basketor tray of surgical instruments is placed in a wash sink to brush andmanually wash the surgical instruments to remove any foreign debris,such as tissue or dried body fluid. Next, the basket or tray of surgicalinstruments is transported to and run through an automatedwasher/decontaminator. Next, the basket or tray of surgical instrumentsis transported to and emptied out on a sorting table where a technicianinspects, counts and sorts each surgical instrument into groupings ofinstruments for a specified surgical procedure. Next, pivoting or hingedscissor-like surgical instruments are commonly sequentially groupedusing a fixed stringer, bar or retaining rod positioned through both ofthe finger rings or ring handles, and the set is laid or positioned in abasket or tray. Next, the basket or tray of surgical instruments isplaced in a sealed container and sealed before entering thesterilization machine. Next, the wrapped or containerized basket or trayof surgical instruments is placed in an industrial sterilizationmachine/autoclave for sterilization of the surgical instruments. Next,the sealed sterilization container of surgical instruments is storeduntil transported to an operating area for use as required. When neededthe sterilized surgical instruments are transported to the operatingroom where the surgical instruments are removed from the basket or trayand arranged on a stand or instrument roll in a configuration thatenables efficient transfer to a surgeon.

Much time is utilized during the process of cleaning, sorting, counting,and grouping procedure for the assembly and sterilization of surgicalinstruments. In addition, the onset of infectious diseases hasdramatically increased the biohazard risk for medical personnel andcentral sterile personnel handling post operation cleaning, sorting,counting, and grouping of surgical instruments due to potential contactwith sharp surgical instruments, such as needles. Such contact mayresult in loss of work for recovery, testing for contamination, and/or aworkers compensation claim.

Furthermore, surgical instruments are often damaged when transported,stacked one on the other as well as when the surgical instruments areemptied out on a sorting table for a technician to inspect, count, andsort. Such handling may scratch, bend and may even break the surgicalinstruments resulting in increased cost to replace such instruments,which are often delicate and expensive. Such damage to the surgicalinstruments reduces the life expectancy of the surgical instrumentsresulting in increased medical costs to replace the surgicalinstruments. Moreover, if such damaged surgical instruments areaccidentally returned to the operating room, such surgical proceduresmay be delayed or cancelled due to non-functioning surgical instrumentscausing lost revenue for the surgery center and an upset surgical teamand patients in queue.

Still further, the environmental impact of the above multi-step processof pre-washing, automated washer/decontaminator, and running thesurgical instruments through industrial sterilization machine/autoclaverequires large quantities of water, sterilization chemicals and energy.

Yet still further, counting the surgical instruments before and aftersurgical procedures is particularly important for ensuring that noinstruments are left in the patient after the operation procedure hasbeen completed.

Yet still further, one problem with fixed or hinged stringers, bars orretaining rods is that the stringer is not adjustable to string, groupor accommodate a variety of surgical instruments nor do such fixedstringers enable adjustment to hold or maintain a variety of surgicalinstruments in an open position ready for sorting, identifying,grouping, cleaning and sterilization.

Therefore, it is readily apparent that there is a recognizable unmetneed for an adjustable surgical instrument stringer with pegs and traysystem and method of sterilization that reduces the time spent cleaning,sorting, counting, identifying and grouping surgical instrument, extendsthe life expectancy of the surgical instruments, provides an adjustablestringer, and decreases the contamination potential of the surgicalinstruments by maintaining the surgical instruments in a side-by-sideopen configuration during cleaning and sterilization.

SUMMARY

Briefly described, in an example embodiment, the present apparatus andmethod overcomes the above-mentioned disadvantages and meets therecognized need for an adjustable surgical instrument stringer withpegs, tray system, and method of sterilization comprising, in general, asurgical instrument support tray configured to support a plurality ofring handled surgical instruments including, in general, a surfaceconfigured to support the plurality of surgical instruments, the surfacefurther includes a plurality of holes formed therein, a stringer havingtwo or more rod sections, wherein each the rod section is configured tobe inserted in one ring handle of the plurality of ring handled surgicalinstruments, two or more angle sections, each angle section configuredhaving one or more slidable connector sections, each slidable connectorsection configured to extend and retract along at least one of the twoor more rod sections, and two or more releasable connectors, eachreleasable connector positioned between two of the two or more anglesections.

Moreover, a surgical instrument stringer, tray system, and method ofsterilization having one or more axis adjustable stringer to be insertedinto the finger rings or ring handles of the surgical instruments tosequentially group the surgical instruments, a surgical instrument trayand lid configured with a pattern of sterilization apertures, the lidhaving two or more recessed valleys configured to receive the stringerof ringed surgical instruments and releasably hold the surgicalinstrument therein and, thus such apparatus, functions to removeablysecure the surgical instrument in a group for identification, cleaning,sterilization, and storage prior to surgery.

According to its major aspects and broadly stated, the present systemmeets the recognized need for an adjustable stringer configured tostring the ring handles of one or more surgical instruments includingtwo or more rod sections, each rod section configured with at least oneangle section therein, and wherein each rod section is configured to beinserted in one ring handle of the one or more surgical instruments, andtwo or more slidable coupler sections, each slidable coupler sectionconfigured to extend and retract two of said two or more rod sections.

In a further exemplary embodiment of adjustable stringer configured tostring the ring handles of one or more surgical instruments, thestringer including two or more rod sections, wherein each rod section isconfigured to be inserted in one ring handle of the one or more surgicalinstruments, two or more angle sections, each angle section configuredhaving one or more slidable connector sections, each slidable connectorsection configured to extend and retract along at least one of the twoor more rod sections, and two or more releasable connectors, eachreleasable connector positioned between two of the two or more anglesections.

In a further exemplary embodiment of a surgical instrument support trayconfigured to surgical instrument support tray configured to support aplurality of ring handled surgical instruments including, in general, asurface configured to support the plurality of surgical instruments, thesurface further includes a plurality of holes formed therein, a stringerhaving two or more rod sections, wherein each rod section is configuredto be inserted in one ring handle of the plurality of ring handledsurgical instruments, two or more angle sections, each angle sectionconfigured having one or more slidable connector sections, each slidableconnector section configured to extend and retract along at least one ofthe two or more rod sections, and two or more releasable connectors,each releasable connector positioned between two of the two or moreangle sections.

In a further exemplary embodiment of a surgical instrument support trayconfigured to support a plurality of ring handled surgical instrumentsincluding a surface configured to support the plurality of surgicalinstruments, the surface further includes two or more valleys formed inparallel in the surface and configured to receive the ring handledsurgical instruments, and a stringer having at least two rod sections,each rod section configured to be inserted in one ring handle of theplurality of ring handled surgical instruments.

In a further exemplary embodiment of a method of organizing surgicalinstruments having ring handles including the steps of providing astringer having two or more rod sections, wherein each rod section isconfigured to be inserted in one ring handle of the one or more surgicalinstruments, two or more angle sections, each angle section configuredhaving one or more slidable connector sections, each slidable connectorsection configured to extend and retract along at least one of the twoor more rod sections, each angle section further configured having atleast one peg, and two or more releasable connectors, each releasableconnector positioned between two of the two or more angle sections,inserting each rod section in one ring handle of the one or moresurgical instruments to group the one or more surgical instruments,providing a surface configured to support the plurality of surgicalinstruments, the surface further comprises a plurality of holesconfigured to enable sterilant to flow therethrough, adjusting the twoor more slidable coupler sections of the stringer to fit the pluralityof holes, and positioning the at least one peg of each angle section ofthe stringer in one of the plurality of holes to releasably retain thering handles of the surgical instruments evenly spaced in an open jawposition.

In a further exemplary embodiment of a method of organizing surgicalinstruments having ring handles comprising the steps of providing astringer having two or more rod sections, each rod section configuredwith at least one angle section therein and two or more slidable couplersections, each slidable coupler section configured to extend and retracttwo of the two or more rod sections, inserting each rod section in onering handle of the one or more surgical instruments to group the one ormore surgical instruments, providing a surface configured to support theplurality of surgical instruments, the surface further comprises two ormore valleys formed in parallel in the surface and configured to receivethe ring handled surgical instruments, adjusting the two or moreslidable coupler sections of the stringer to fit the two or more valleysformed in parallel in the surface, and positioning the stringer of thering handled surgical instruments in two of the two or more valleysformed in parallel in the surface to releasably retain the ring handlesof the surgical instruments evenly spaced in an open jaw position.

Accordingly, a feature of the adjustable surgical instrument stringer,tray system, and method of sterilization is its ability to reduce thetime required to identify, clean, sort, count, and group surgicalinstrument between surgeries.

Another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to organize, protectand enable thorough cleaning and sterilization of surgical instruments.

Still another feature of the adjustable surgical instrument stringer,tray system, and method of sterilization is its ability to accommodate avariety of surgical instruments, such as size, shape, angle of bend, tiptype, instruments purpose and the like all in one support tray system.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to rapidly identifythe appropriate instrument in the tray during sorting, counting, andgrouping of the surgical instrument post-surgery, during pre-wash,pressure washing, sorting, grouping, sterilization or storage forpre-surgical use.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to rapidly identifyand select the appropriate surgical instrument during surgery withoutconfusion and lapse of time and to also identify all surgicalinstruments post-surgery.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduceinefficiency and waste in turning around sterile surgical instruments asset forth in the Affordable Care Act.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to decrease the lossof surgical instruments, decrease the time to count the surgicalinstruments before and after surgical procedures, and decrease assemblytime of surgical instrument sets.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce surgicalinstrument inventory or reduce the need for additional capitalexpenditures due to increased surgical volume as a result of moreefficient processing time.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization an adjustable surgical instrumentstringer, tray system, and method of sterilization is its ability toenable a uniform cleaning process for reducing the potential forsurgical site infection.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce theoccurrences of malfunctions, delays or cancellations during the surgicalprocedure due to improperly inspected or cleaned surgical instruments.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce the capitalbudget for repairs associated with care and handling of surgicalinstruments.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to integrate thesurgical instrument support tray as the tray top of box like container.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce the numberof sharps being sent to central sterile and the reduction of accidentsassociated with needle/sharps injuries.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to inventory surgicalblades and needles after being disengaged therefrom.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to color coordinate agroup of trays within a surgical service for easy identification forspecific surgical specialties.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce surgicalinstrument damage when transporting, stacking, sorting, inspecting,counting, and/or when empting out on a sorting table for a technician toinspect, count, and sort. Such handling may scratch, bend and may evenbreak the surgical instruments resulting in increased cost to replacesuch instruments, which are often delicate and expensive. Such damage tothe surgical instruments reduces the life expectancy of the surgicalinstruments resulting in increased medical costs to replace the surgicalinstruments.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to sort, identify,group, clean, and sterilize and to further prevent damaged or improperlycleaned surgical instruments from accidentally being returned to theoperating room, where such surgical procedures may be delayed orcancelled due to non-functioning surgical instruments and furthercausing lost revenue for the surgery center.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to reduce theenvironmental impact of the multi-step process of pre-washing, automatedwasher/decontaminator, and running the surgical instruments throughindustrial sterilization machine/autoclave to reduce the requirementsfor large quantities of water, sterilization chemicals and energy.

Yet another feature of the adjustable surgical instrument stringer, traysystem, and method of sterilization is its ability to provide anadjustable stringer to group or accommodate a variety of surgicalinstruments and provide adjustment to hold or maintain a variety ofsurgical instruments in an open position ready for sorting, identifying,grouping, cleaning and sterilization.

Yet another feature of the adjustable surgical instrument stringer withpegs, tray system, and method of sterilization is its ability to provideone or more pegs to be utilized to affix stringer and/or a group ofsurgical instrument bound together by stringer to the tray or tray top.

Yet another feature of the adjustable surgical instrument stringer withpegs, tray system, and method of sterilization is its ability to providea linear adjustment or latch and release connector between sections.

Yet another feature of the adjustable surgical instrument stringer withpegs, tray system, and method of sterilization is its ability to providea stringer that may be positioned in or across valleys on tray top byadjusting the stringer wherein the surgical instruments may be retainedin parallel or nonparallel to the valleys, evenly spaced and an open jawposition by surgical instrument support tray system.

Yet another feature of the adjustable surgical instrument stringer withpegs, tray system, and method of sterilization is its ability to providea stringer that accommodates shorter shanked surgical instrument setsand longer shanked surgical instrument sets, on one stringer in a wideopen position for better cleaning and sterilization purposes and toenable easy identification, pressure washing, sorting, counting, andgrouping of surgical instruments.

These and other features of the adjustable surgical instrument stringerwith pegs, tray system, and method of sterilization will become moreapparent to one skilled in the art from the following Brief Descriptionof the Drawings, Detailed Drawings, Detailed Description and Claims whenread in light of the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

The present adjustable surgical instrument stringer with pegs, traysystem, and method of sterilization will be better understood by readingthe Detailed Description of the embodiments with reference to theaccompanying drawings, in which like reference to numerals denotesimilar structures and refer to like elements throughout, and in which:

FIG. 1 is a perspective view of an example stringer;

FIG. 2 is a top view, side view and bottom view of the stringer of FIG.1;

FIG. 2.1 is a top view of the stringer of FIG. 1;

FIG. 2.2 is a side view of the stringer of FIG. 1;

FIG. 2.3 is an end view of the stringer of FIG. 1;

FIG. 3 is an exploded perspective view of the stringer of FIG. 1;

FIG. 4.1 is top view of an example surgical instrument for storage inthe surgical instrument support tray system shown herein;

FIG. 4.2 is perspective view of a plurality of surgical instruments ofFIG. 4.1 shown strung together with stringer of FIG. 1;

FIG. 5.1 is perspective view of an example embodiment box like traybottom and lid surgical instrument support tray system with exemplaryadjustable stringer position thereon;

FIG. 5.2 is an exploded perspective view of an example embodiment boxlike tray bottom and lid surgical instrument support tray system withexemplary adjustable stringer;

FIG. 5.2.1 is a perspective view of an example embodiment box like traybottom;

FIG. 5.2.2 is a perspective view of an example embodiment box lidsurgical instrument support with exemplary adjustable stringer;

FIG. 5.3 is a top and cross sectional view of an example embodiment boxlid and surgical instrument support system;

FIG. 5.3.1 is a top view of an example embodiment box lid and surgicalinstrument support system;

FIG. 5.3.2 is a cross sectional view of an example embodiment box lidand surgical instrument support system;

FIG. 5.3.3 is a cross sectional view of an example embodiment box lidand surgical instrument support system;

FIG. 5.4 is a top and cross sectional view of an example embodiment boxlike tray bottom and internal small box support system;

FIG. 5.4.1 is a cross sectional side view of an example embodiment boxlike tray bottom and internal small box support system;

FIG. 5.4.2 is a top view of an example embodiment box like tray bottomand internal small box support system;

FIG. 5.5 is perspective view of an example embodiment box like lid ortop for a surgical instrument support tray system with exemplarystringer of FIG. 1 positioned thereabove;

FIG. 6.1 is a perspective view of an example embodiment of a surgicalinstrument support tray system with exemplary adjustable stringers shownin two positions affixed to the top or lid of the surgical instrumentsupport tray system;

FIG. 6.1A is a perspective view of an example embodiment of a box likelid or top of a surgical instrument support tray system with exemplarystringers of FIG. 1 shown in two positions releasably affixed to the topor lid of the surgical instrument support tray system;

FIG. 6.2 is a perspective view of an example embodiment of a surgicalinstrument support tray system with a plurality of surgical instrumentsets held by exemplary adjustable stringers to the top of the surgicalinstrument support tray system;

FIG. 6.2A is a perspective view of an example embodiment of a lid or topfor a surgical instrument support tray system with a plurality ofsurgical instrument sets held by exemplary stringers of FIG. 1 to thetop of the surgical instrument support tray system;

FIG. 6.3A is a perspective view of an example embodiment of a lid or topfor a surgical instrument support tray system with a plurality ofsurgical instrument sets held by exemplary unlatched stringer of FIG. 1to the top of the surgical instrument support tray system with ringhandles positioned parallel to valleys formed in the lid or top;

FIG. 6.4A is a perspective view of an example embodiment of a lid or topfor a surgical instrument support tray system with a plurality ofsurgical instrument sets held by exemplary unlatched stringer of FIG. 1to the top of the surgical instrument support tray system with ringhandles positioned nonparallel to valleys formed in the lid or top;

FIG. 7.1 is an exploded perspective view of the attachment device ofFIG. 5.2.2;

FIG. 7.2 is a perspective view of an alternate exemplary attachmentdevice of FIG. 7.1;

FIG. 7.2.1 is a perspective view of an alternate exemplary attachmentdevice of FIG. 7.1;

FIG. 7.2.2 is a perspective view of an alternate exemplary attachmentdevice of FIG. 7.2.1;

FIG. 7.2.3 is a side view of an alternate exemplary attachment device ofFIG. 7.2.1; and

FIG. 8 is a flow diagram of a method of sorting, identifying, grouping,counting, cleaning, pressure washing, sterilizing, and storing surgicalinstruments prior to surgical use.

It is to be noted that the drawings presented are intended solely forthe purpose of illustration and that they are, therefore, neitherdesired nor intended to limit the disclosure to any or all of the exactdetails of construction shown, except insofar as they may be deemedessential to the claimed invention.

DETAILED DESCRIPTION

In describing the exemplary embodiments of the present disclosure asillustrated in FIGS. 1-8 specific terminology is employed for the sakeof clarity. The present disclosure, however, is not intended to belimited to the specific terminology so selected, and it is to beunderstood that each specific element includes all technical equivalentsthat operate in a similar manner to accomplish similar functions.Embodiments of the claims may, however, be embodied in many differentforms and should not be construed to be limited to the embodiments setforth herein. The examples set forth herein are non-limiting examples,and are merely examples among other possible examples.

Referring now to FIG. 1 there is illustrated a perspective view of anexemplary adjustable or fixed bar or retaining rod, such as stringer100A. Preferably, stringer 100A includes one or more bars, tubes,conduits or the like, such as rod 101A/B, one or more bends, corners,angles, right angle, acute angle, curves, or turns, such as anglesections 104A/B or 114A/B, and one or more expand and contract sections,slidable sections, latchable sections, telescope, or releasablesections, such as connector 130A/B/C/D/E/F. It is contemplated hereinthat other configurations of connector 130A/B/C/D/E/F known to one ofordinary skill in the art, such as other connector configurations, multisegment connector, telescopic slidable connector sections or the like toaccommodate larger surgical instruments I are included herein. It isfurther contemplated herein that rod 101A/B and angle sections 104A/B or114A/B may be formed as a plurality of pieces or parts for assembly as awhole stringer 100A or as one or more single elements for assembly as awhole stringer 100A. Stringer 100A is preferably configured as anadjustable rectangular configuration with adjustments in one or moreaxis, such as x axis X and/or y axis Y via connector 130A/B/C/D/E/F;however, other configurations, such as square, trapezoid, trapezium, orthe like and other adjustments or adjustment mechanisms in and betweenaxis are contemplated herein.

Referring now to FIG. 2 there is illustrated a top view, side view andbottom view of stringer 100A. FIG. 2.1 further illustrates therectangular configuration of rods 101A/B and 111A/B, angle sections104A/B and 114A/B, and connector 130A/B/C/D/E/F. FIG. 2.2 furtherillustrates the linear adjustment capability in the y axis Y between rod101A and angle sections 104A and/or 114A via connector section 130C/Fconfigured to enable releasable extension and retraction of rod 101A inand out therein of connector 130C/F. It is contemplated herein that rod101B may be configured to enable releasable extension and retraction ofrod 101B in and out therein of connector section 130D/E.

FIG. 2.3 further illustrates the linear adjustment or latch and releasecapability in the x axis X between angle sections 104A and 104B viaconnector 130A. It is contemplated herein that connector 130B likewisemay be configured to enable the linear adjustment or latch and releasecapability in the x axis X between angle sections 114A and 114B viaconnector 130B.

Stringer 100A is preferably formed of a suitable surgical material, suchas stainless steel, aluminum, metal, metal alloys, shape memory alloys,carbon fibers, nylon, ceramic or the like, capable of providingstructure whether as a solid or hollow stringer 100A. Preferably, thematerial includes other suitable characteristics, such as durability,rigidity, stain-resistance, bacteria-resistant, light weight, chemicalinertness, oxidation resistance, ease of workability, or otherbeneficial characteristic understood by one skilled in the art.Moreover, stringer 100A is preferably configured having across-sectional circular diameter; however, other configurations, suchas square or the like, are contemplated herein. Stringer 100A ispreferably solid for the purpose of preventing any interior surfacecapable of colonizing bacteria, viruses or other infectious diseases anddifficult for sterilization chemicals to reach; however, a hollowinterior is contemplated herein if such interior is sealed oralternatively if a plurality of holes or apertures are present to enablesterilization of the interior surface of stringer 100A.

Referring now to FIG. 3 there is illustrated an exploded view of rod101A, rod 101B, angle sections 104A/B or 114A/B, and connectors130A/B/C/D/E/F of stringer 100A. Preferably rod 101A includes first rodend 101A.1 and second rod end 101A.2. First rod end 101A.1 preferablyincludes a solid end, rounded end, pointed end, or cover, such as rodend cap 101A.3. Second rod end 101A.2 preferably transitions to or isreleasably connected to angle section 104A. Preferably rod 101B includesfirst rod end 101B.1 and second rod end 101B.2. First rod end 101B.1preferably includes a solid end, rounded end, pointed end, or cover,such as rod end cap 101B.3. Second rod end 101B.2 preferably transitionsto or is releasably connected to angle section 104B.

Preferably angle section 104A includes first connector section 104A.1configured approximately perpendicular, curved, or right angled tosecond connector section 104A.2 and both are preferably adjoined to oneanother at a common intersection 104A.4. First connector section 104A.1preferably includes a transition end or tapered end, such as firstconnector end 104A.3 configured to releasably connect second rod end101A.2 of rod 101A thereto first connector section 104A.1 of anglesection 104A. It is recognized herein that connector 130F may be anadhesive, compression fitting, mechanical fitting, weld, single moldedcomponent of rod 101A and angle section 104A or the like. It isalternatively contemplated herein that connector 130F may preferablycomprise a fixed connection therebetween first connector end 104A.3 offirst connector section 104A.1 and second rod end 101A.2 of rod 101A.Moreover, second connector section 104A.2 of angle section 104Apreferably includes a transition end or fitted end, such as secondconnector end 104A.5 configured to releasably connect second connectorsection 104A.2 of angle section 104A thereto angle section 104B.Preferably, second connector end 104A.5 includes receptacle 104A.7 andfurther includes first edge 104A.6 configured preferably to match, fit,(notched-slotted) and/or receive angle section 104B to aid in the properalignment of angle sections 104A/B and to maintain rods 101A/B inalignment or parallel with each other. It is contemplated herein thatreceptacle 104A.7 and/or first edge 104A.6 may be alternativelyconfigured to accommodate and/or releasably connect second connectorsection 104A.2 of angle section 104A thereto angle section 104B.

Preferably, second connector section 104A.2 of angle section 104Aincludes a pin, leg, support, or hanger, such as first peg 104A.8configured approximately vertical, perpendicular or right angled tosecond connector section 104A.2 and extends above (first peg 104A.8.1)and/or below (first peg 104A.8.2) second connector section 104A.2. Firstpeg 104A.8 is preferably inserted through conduit 104A.9 configuredthrough second connector section 104A.2 or may have been formed as apart of second connector section 104A.2 or otherwise therein anglesection 104A. It is contemplated herein that first peg 104A.8 mayalternatively have likewise been positioned or formed as a part of firstconnector section 104A.1. Furthermore, first peg 104A.8 may beconfigured with grommet or cover 104A.10 to releasably affix or holdfirst peg 104A.8 thereto apertures 340 formed tray top 320.

It is contemplated herein that angle section 104A may be formed ormolded as one piece including first connector section 104A.1, secondconnector section 104A.2, and first peg 104A.8.

Preferably angle section 104B includes first connector section 104B.1configured approximately perpendicular, curved, or right angled tosecond connector section 104B.2 and both are preferably adjoined to oneanother at a common intersection 104B.4. First connector section 104B.1preferably includes a transition end or tapered end, such as firstconnector end 104B.3 configured to releasably connect second rod end101B.2 of rod 101B thereto first connector section 104B.1 of anglesection 104B. It is recognized herein that connector 130E may be anadhesive, compression fitting, weld, mechanical connector, single moldedcomponent of rod 101B and angle section 104B or the like. It isalternatively contemplated herein that connector 130E may preferablycomprise a fixed connection therebetween such as first connector end104B.3 of first connector section 104B.1 and second rod end 101B.2 ofrod 101B. Moreover, second connector section 104B.2 of angle section104B preferably includes a transition end or fitted end, such as secondconnector end 104B.5 configured to releasably connect second connectorsection 104B.2 of angle section 104B thereto angle section 104A.Preferably, second connector end 104B.5 includes protrusion 104B.7 andfurther includes first edge 104B.6 configured preferably to match, fit,(notched-slotted) first edge 104A.6 and/or insert therein receptacle104A.7 of angle section 104A to aid in the proper alignment of anglesections 104A/B and to maintain rods 101A/B in alignment or parallelwith each other. It is contemplated herein that protrusion 104B.7 and/orfirst edge 104B.6 may be alternatively configured to accommodate and/orreleasably connect second connector section 104B.2 of angle section 104Bthereto angle section 104A.

Preferably, second connector section 104B.2 of angle section 104Bincludes a pin, leg, support, or hanger, such as second peg 104B.8configured approximately vertical, perpendicular or right angled tosecond connector section 104B.2 and extends above (second peg 104B.8.1)and/or below (second peg 104B.8.2) second connector section 104B.2.Second peg 104B.8 is preferably inserted through conduit 104B.9configured through second connector section 104B.2 or may have beenformed as a part of second connector section 104B.2 or angle section104B. It is contemplated herein that second peg 104B.8 may alternativelyhave been positioned or formed as a part of first connector section104B.1. Furthermore, second peg 104B.8 may be configured with grommet orcover 104B.10 to releasably affix or hold second peg 104B.8 theretoapertures 340 formed tray top 320.

It is contemplated herein that angle section 104B may be formed ormolded as one piece including first connector section 104B.1, secondconnector section 104B.2, and second peg 104B.8.

Preferably angle section 114A includes first connector section 114A.1configured approximately perpendicular, curved, or right angled tosecond connector section 114A.2 and both are preferably adjoined to oneanother at a common intersection 114A.4. First connector section 114A.1preferably includes a transition end or tapered end, such as firstconnector end 114A.3 configured to releasably and slidably connect firstrod end 101A.1 of rod 101A thereto first connector section 114A.1 ofangle section 114A. It is recognized herein that connector 130C may bean adhesive, compression fitting, weld, mechanical connector, singlemolded component of rod 101A and angle section 114A or the like. It isalternatively contemplated herein that connector 130C may preferablycomprise a fixed connection therebetween first connector end 114A.3 offirst connector section 114A.1 and first rod end 101A.1 of rod 101A.Moreover, second connector section 114A.2 of angle section 114Apreferably includes a transition end or fitted end, such as secondconnector end 114A.5 configured to releasably connect second connectorsection 114A.2 of angle section 114A thereto angle section 114B.Preferably, second connector end 114A.5 includes receptacle 114A.7 andfurther includes first edge 114A.6 configured preferably to match, fit,(notched-slotted) and/or receive angle section 114B to aid in the properalignment of angle sections 114A/B and to maintain rods 101A/B inalignment or parallel with each other. It is contemplated herein thatreceptacle 114A.7 and/or first edge 114A.6 may be alternativelyconfigured to accommodate and/or releasably connect second connectorsection 114A.2 of angle section 114A thereto angle section 114B.

Preferably, second connector section 114A.2 of angle section 114Aincludes a pin, leg, support, or hanger, such as third peg 114A.8configured approximately vertical, perpendicular or right angled tosecond connector section 114A.2 and extends above (third peg 114A.8.1)and/or below (third peg 114A.8.2) second connector section 114A.2. Thirdpeg 114A.8 is preferably inserted through conduit 114A.9 configuredthrough second connector section 114A.2 or may have been formed as apart of second connector section 114A.2 or angle section 114A. It iscontemplated herein that third peg 114A.8 may alternatively have beenpositioned or formed as a part of first connector section 114A.1.Furthermore, third peg 114A.8 may be configured with grommet or cover114A.10 to releasably affix or hold third peg 114A.8 thereto apertures340 formed tray top 320.

It is contemplated herein that angle section 114A may be formed ormolded as one piece including first connector section 114A.1, secondconnector section 114A.2, and third peg 114A.8.

Preferably angle section 114B includes first connector section 114B.1configured approximately perpendicular, curved, or right angled tosecond connector section 114B.2 and both are preferably adjoined to oneanother at a common intersection 114B.4. First connector section 114B.1preferably includes a transition end or tapered end, such as firstconnector end 114B.3 configured to releasably and slidably connect firstrod end 101B.1 of rod 101B thereto first connector section 114B.1 ofangle section 114B. It is recognized herein that connector 130D may bean adhesive, compression fitting, weld, mechanical connector, singlemolded component of rod 101B and angle section 114B or the like. It isalternatively contemplated herein that connector 130D may preferablycomprise a fixed connection therebetween such as first connector end114B.3 of first connector section 114B.1 and first rod end 101B.1 of rod101B. Moreover, second connector section 114B.2 of angle section 114Bpreferably includes a transition end or fitted end, such as secondconnector end 114B.5 configured to releasably connect second connectorsection 114B.2 of angle section 114B thereto angle section 114A.Preferably, second connector end 114B.5 includes protrusion 114B.7 andfurther includes first edge 114B.6 configured preferably to match, fit,(notched-slotted) first edge 14A.6 and/or insert therein receptacle114A.7 of angle section 104A to aid in the proper alignment of anglesections 114A/B and to maintain rods 101A/B in alignment or parallelwith each other. It is contemplated herein that protrusion 114B.7 and/orfirst edge 114B.6 may be alternatively configured to accommodate and/orreleasably connect second connector section 114B.2 of angle section 114Bthereto angle section 114A.

Preferably, second connector section 114B.2 of angle section 114Bincludes a pin, leg, support, or hanger, such as fourth peg 114B.8configured approximately vertical, perpendicular or right angled tosecond connector section 114B.2 and extends above (fourth peg 114B.8.1)and/or below (fourth peg 114B.8.2) second connector section 104B.2.Fourth peg 114B.8 is preferably inserted through conduit 114B.9configured through second connector section 114B.2 or may have beenformed as a part of second connector section 114B.2 or angle section114B. It is contemplated herein that fourth peg 114B.8 may alternativelyhave been positioned or formed as a part of first connector section114B.1. Furthermore, fourth peg 114A.8 may be configured with grommet orcover 114B.10 to releasably affix or hold fourth peg 114A.8 theretoapertures 340 formed tray top 320.

It is contemplated herein that angle section 114B may be formed ormolded as one piece including first connector section 114B.1, secondconnector section 114B.2, and fourth peg 114B.8.

It is contemplated herein that pegs 104A.8, 104B.8, 114A.8, and 114B.8may be removeable or slid in conduit 104A.9, 104B.9, 114A.9, and 114B.9,respectively, to enable stringer 100A to lie flat on a surface or toassist with stacking, sorting, inspecting, and counting of surgicalinstruments I, and additionally when positioning on a sorting table fora technician to inspect, count, and sort.

Stringer 100A further includes two or more connectors 130A/B/C/D/E/F forextension and retraction of rods 101A/B.

Preferably, connector 130A is configured as a linear adjustment or latchand release connector operational in the x axis X and positioned betweenangle sections 104A and 104B. Preferably, second connector section104A.2 of angle section 104A and second connector section 104B.2 ofangle section 104B are configured as conduits with hollow passagewaytherethrough for insertion therein of a fastener, clasp, or latchmechanism, such as quick release pin 105A1/A2.

Preferably, quick release pin 105A1/A2 includes main body tube 105A, abias mechanism, such as spring 105B, a rod, or pin, such as spindle105C, and one or more balls 105D. Main body tube 105A preferablyincludes extension tube 105A.2 and alignment tube 105A.1 having aconduit or passageway 105A.4 therethrough with first access opening105A.3 on one end of alignment tube 105A.1 and second access opening105A.5 on one end of extension tube 105A.2 of body tube 105A. Preferablyone or more small holes 105A.5 are drilled or formed in side wall 105A.6of extension tube 105A.2, more specifically near one end or tip ofextension tube 105A.2. One or more balls 105D are preferably positionedtherein one or more small holes 105A.5, wherein one or more small holes105A.5 are preferably configured to maintain one or more balls 105D inposition to protrude through side wall 105A.6 of extension tube 105A.2but not allow one or more balls 105D to pass all the way through one ormore small holes 105A.5 and fall out. Spindle 105C preferably includesbutton 105C.1, spring support 105C.2, and spindle rod 105C.4.Preferably, spindle rod 105C.4 is passed through spring 105B, insertedin access opening 105A.3, further into passageway 105A.4, and furtherconfigured to contact or place pressure/force on the backside of one ormore balls 105D to hold one or more balls 105D in one or more smallholes 105A.5 of extension tube 105A.2. It is contemplated herein thatspindle rod 105C.2 may contain a small section that is machined down toa smaller diameter or wedge, such as machined section 105C.3, wherespindle rod 105C.2 contacts one or more balls 105D in the releaseposition. Moreover, spindle rod 105C.4 includes first spindle end105C.3, second spindle end 105C.6, and machined section 105C.5 ofspindle rod 105C.2.

In use, when button 105C.1 on the end of spindle rod 105C.2 is pressed,such action compresses spring 105B between button 105C.1 and main bodytube 105A, wherein spindle rod 105C.2 moves inward into passageway105A.4 and enables one or more balls 105D to retract into extension tube105A.2 from their seated positions into machined section 105C.5 ofspindle rod 105C.2 (retracted position). In the retracted position, oneor more balls 105D are preferably flush or slightly below the outsidesurface of extension tube 105A.2. When the button is released spring105B provides pressure/force to pull spindle rod 105C.2 out of main bodytube 105A and force one or more balls 105D to extend out of extensiontube 105A.2 (extended position). In the extended position, one or moreballs 105D are preferably in contact with receptacle 104A.7 of secondconnector section 104A.2 of angle section 104A releasably affixing anglesection 104A to angle section 104B. It is contemplated herein thatreceptacle 104A.7 is preferably configured to receive extension tube105A.2. In the extended and retracted position, one or more balls 105Dof release pin 105A are configured to provide latch and releasecapability in the x axis X between angle sections 104A and 104B viaconnector 130A. It is contemplated herein that receptacle 104A.7 ofsecond connector section 104A.2 may include one or more bored diametersto accommodate extension tube 105A.2 in its extended and retractedposition to provide latch and release capability in the x axis X betweenangle sections 104A and 104B. It is further contemplated herein thatreceptacle 104A.7 of second connector section 104A.2 may includeinterior dimples or other configurations to catch one or more balls 105Dwhen in their extended position to assist with latch capability in the xaxis X between angle sections 104A and 104B. It is still furthercontemplated herein that other latch and release or the like mechanismsmay be utilized herein.

Preferably, connector 130B (like connector 130C) is configured as alinear adjustment or latch and release connector operational in the xaxis X and positioned between angle sections 114A and 114B. Preferably,second connector section 114A.2 of angle section 114A and secondconnector section 114B.2 of angle section 114B are configured asconduits with hollow passageway therethrough for insertion therein of afastener, clasp, or latch mechanism, such as quick release pin 105A2. Itis contemplated herein that quick release pin 105A may be utilized toprovide latch and release capability in the x axis X between anglesections 114A and 114B.

It is recognized herein that connector 130A and connector 130B enabletravel, adjustment, extension, latch, release, or retraction betweenangle sections 104A and 104B and angle sections 114A and 114B.

Preferably connector section 130C is positioned between rod 101A andangle sections 114A, connector section 130D is positioned between rod101B and angle sections 114B, connector section 130E is positionedbetween rod 101B and angle sections 104B, and connector section 130F ispositioned between rod 101A and angle sections 104A. For assembly, ofconnector section 130C first rod end 101A.1 of first rod section 101A ispreferably inserted in first connector end 114A.3 configured toreleasably and slidably connect first rod end 101A.1 of rod 101A theretofirst connector section 114A.1 of angle section 114A. For assembly, ofconnector section 130D first rod end 101B.1 of first rod section 101B ispreferably inserted in first connector end 114B.3 configured toreleasably and slidably connect first rod end 101B.1 of rod 101B theretofirst connector section 114B.1 of angle section 114B. For assembly, ofconnector section 130E second rod end 101B.2 of first rod section 101Bis preferably inserted in first connector end 104B.3 configured toreleasably and slidably connect second rod end 101B.2 of rod 101Bthereto first connector section 104B.1 of angle section 104B. Forassembly, of connector section 130F second rod end 101A.2 of first rodsection 101A is preferably inserted in first connector end 104A.3configured to releasably and slidably connect second rod end 101A.2 ofrod 101A thereto first connector section 104A.1 of angle section 104A.It is contemplated herein that connector section 130C/D/E/F arepreferably configured to enable travel along y axis Y, adjustment,positioning, or spacing therebtween angle sections 104A and 114A, andangle sections 104B and 114B. It is contemplated herein that connectorsection 130C/D/E/F may be affixed to angle section 114A, 114B, 104B, or104A utilizing a weld, adhesive, mechanical connector, compressionfitting or the like.

It is contemplated herein that stringer 100A may include a single axisof adjustment or telescope, such as along the x axis X or y axis Y oralternatively a multi axis adjustment or telescope, such as along the xaxis X and y axis Y.

It is further contemplated herein that connector 130A/B/C/D/E/F ofstringer 100A may include inner rod that is slidably longitudinallyreceived within a hollow outer rod and that each end of a rod may beinterchanged from inner to outer.

It is still further contemplated herein that connector 130A/B/C/D/E/F ofstringer 100A may be interchanged.

It is still further contemplated herein that connector 130A/B/C/D/E/F ofstringer 100A may include one or more expand and contract sections orslidable sections to enable x axis X and/or y axis Y parallel adjustmentor spacing of the rods that form stringer 100A.

Referring now to FIG. 4.1 an exemplary surgical instrument I, such as ahemostat having moveable shank S1 and shank S2, which preferablyincludes a pair of opposing first jaw member J1 and second jaw membersJ2, jaw members, wherein at least one of the jaw members is movablerelative to the other. Such jaw members may be pivotable about pivotpoint P, within box lock B, between first open position O in which thejaw members are disposed in a spaced relation relative to one another,and second closed position C in which the jaw members are configured tograsp or clamp something therebetween, such as tissue, or the like.Moreover, opposing first jaw member J1 and second jaw members J2 may belocked or held in position by a lock such as ratchet lock L preferablypositioned on an extension stem or support member such as shank S1 andshank S2 between the two ring handles R. In use, for example a userpositions their thumb in first ring handle R1 and their index or middlefinger within second ring handle R2. By a user opening and closing theirthumb and index or middle finger this causes first ring handle R1 andsecond ring handle R2 to move apart (first open position O) and together(second closed position C), accordingly. The movements of first ringhandle R1 and second ring handle R2 causes shank S1 and shank S2 topivot about pivot point P which results in first jaw member J1 andsecond jaw members J2 to likewise pivot about pivot point P betweenfirst open position O and second closed position C.

Further, surgical instruments I may include hemostats, forceps, clamps,scalpels, scissors, picks, retractors, hooks, clips, pliers, punches,curettes, specula and the like, which are generally of high precisionand intricate construction and come in a variety of types, shapes andsizes, all of which may be used during a particular surgical procedure.A variety of surgical tools exist for each category of instruments. Forexample, considering only forceps, they come straight, left curved,right curved, serrated, cupped, etc. In addition, a range of medical,dental and veterinary tools have been developed for each discipline,such as in medicine sub-categories of surgical procedures includeanesthesia, cardio, dermatology, ear nose & throat, hand (specificlimbs), facial, ob/gyn, orthopedic and the like each discipline having avariety of specialty and common surgical instruments. Over the years,surgical procedures along with the type and quantity of surgicalinstruments used in a given procedure have become predominantlystandardized. Many of the above-mentioned instruments are scissor actioninstruments, having a pair of ring handles R that are connected througha pivot P to working moveable members shank S1 and shank S2. Preferably,lever, extension or support members such as shank S typically includering handles R at the ends thereof to facilitate the opening and closingof shank S1 and shank S2 connected to first jaw member J1 and second jawmembers J2.

Referring now to FIG. 4.2 an exemplary embodiment of a plurality ofsurgical instruments I strung together by stringer 100A. Preferably rod101A and rod 101B of stringer 100A are positioned through first ringhandle R1 and second ring handle R2 of one or more surgical instrumentsI to group surgical instruments I in sequential order along y axis Y.Moreover, one exemplary function of the extension and retractioncapability of connector 130C/F (shown in FIG. 3) and 130D/E is to enablestringer 100A to accommodate additional (expansion) or fewer(retraction) numbers of surgical instruments I along y axis Y. Suchextension and retraction maintains a tight y axis Y fit around ringhandles R of the group surgical instruments I and holds the groupsurgical instruments I in an erect position. Such erect position, spacebetween instruments, and organization of the group surgical instrumentsI enables shortened time to identify, clean (whether pre-wash, pressurewashing or the like), sort, count, group, and sterilize surgicalinstrument I. Moreover, such erect position, space between instruments,and organization of the group surgical instruments I reduces instrumentdamage when transporting, stacking, sorting, inspecting, and counting,and additionally when positioning on a sorting table for a technician toinspect, count, and sort. Still further, such extension and retractionof connector 130C/F (shown in FIG. 3) and 130D/E enables stringer 100Ato adjust and accommodate a variety of sizes of surgical instrumentsI1/I2 and numbers or groups of surgical instruments I. It iscontemplated herein that first peg 104A.8, second peg 104B.8, third peg114A.8, and fourth peg 114B.8 may be utilized to raise first ring handleR1 and second ring handle R2 of one or more surgical instruments I abovea surface or plug or insert into a holed surface.

Procedurally the surgical instruments I should be strung post-surgerywhen in their aligned position on the surgical instrument roll byfeeding stringer 100A through first ring handle R1 and second ringhandle R2. Thereafter the surgical instruments I are preferably handledas a group of surgical instruments I bound together by stringer 100Athrough the multi-step sorting, identifying, grouping, cleaning andsterilization process. Such bundling of surgical instruments Ipreferably helps to protect surgical instruments I from damage whentransported, stacked one on the other as well as when the surgicalinstruments are emptied out on a sorting table (no longer required) fora technician to inspect, count, and sort. Such handling may scratch,bend and may even break the surgical instruments resulting in increasedcost to replace such instruments, which are often delicate andexpensive. Moreover, such damage to the surgical instruments reduces thelife expectancy of the surgical instruments resulting in increasedmedical costs to replace the surgical instruments. Furthermore, if suchdamaged surgical instruments are accidentally returned to the operatingroom, such surgical procedures may be delayed or cancelled due tonon-functioning surgical instruments causing lost revenue for thesurgery center and an upset surgical team and patients in queue.

Moreover, one exemplary function of the release and latch capability ofconnectors 130A and 130B (shown in FIG. 3) is to enable stringer 100A toaccommodate surgical instruments I in an open position O and upright.Such release and latch of connector 130A and 130B (shown in FIG. 3)maintains x axis X spacing between first ring handle R1 and second ringhandle R2 of the group surgical instruments I. Such movement of firstring handle R1 and second ring handle R2 causes shank S1 and shank S2 topivot about pivot point P which results in first jaw member J1 andsecond jaw members J2 to likewise pivot about pivot point P.

Preferably stringer 100A holds the group surgical instruments I in anerect position with opposing first jaw member J1 and second jaw membersJ2 held in open position O. Such open position O, spacing betweeninstruments, and organization of the group surgical instruments Ienables more thorough cleaning and sterilization of surgical instrumentsI. In addition, maintaining such open position O between first jawmember J1 and second jaw members J2 preferably reduces the time to sort,identify, inspect, group, clean and sterilize the group surgicalinstruments I. Moreover, such open position O of the plurality ofsurgical instruments I strung together by stringer 100A reduces thenumber of sharps being sent to central sterile and the reduction ofaccidents associated with needle/sharps injuries retained in a surgicalinstrument I or hidden in an un organized cluster of surgicalinstruments I. Such erect position, spacing between instruments, andorganization of the group surgical instruments I enables shortened timeto identify, clean (whether pre-wash, pressure washing or the like),sort, count, group, and sterilize surgical instrument I. Still further,such release and latch of connector 130A and 130B (shown in FIG. 3)enables stringer 100A to adjust and accommodate a variety of sizes ofsurgical instruments I and groups of surgical instruments I.

Referring now to FIG. 5.1 there is illustrated a perspective view of anexample embodiment box like tray bottom and lid surgical instrumentsupport tray system 10 with exemplary adjustable stringer 100 positionor affixed thereon. Preferably, surgical instrument support tray system10 includes a container or basket and lid, such as tray bottom 220 andtray top 320. Tray bottom 220 and tray top 320 are preferably formed ofa suitable material, stainless steel, aluminum, metal, metal alloys,shape memory alloys, carbon fibers, ceramic, and includes chrome orother plated metals or coated metal and anodizing or the like, capableof providing structure to tray bottom 220 and tray top 320. Preferably,the material includes other suitable characteristics, such asdurability, rigidity, stain-resistance, bacteria-resistant, lightweight, chemical inertness, oxidation resistance, ease of workability,color coding, or other beneficial characteristic understood by oneskilled in the art.

Referring now to FIG. 5.2.1 there is illustrated a perspective view ofan example embodiment tray bottom 220. Preferably, tray bottom 220 maybe configured as a basket-like housing or enclosure in which surgicalinstruments I may be positioned, sterilized, transported and stored forlater use. Tray bottom 220 comprises four generally perpendicular,upwardly projecting, continuous planar member(s), surface(s) or side(s)such as such as side walls 222, 223, 224, 225 and bottom 226 arrangedpreferably as a rectangle or square and having an open top box. Sidewalls 222-225 preferably define a generally open top having an upperperimeter 227.

It is contemplated herein that one or more sides walls 222, 223, 224,225 and bottom 226 may be formed from a wire grid construction.

It is further contemplated herein that tray bottom 220 may include avariety of shapes and sizes to accommodate a variety of surgicalinstruments I.

Referring again to FIG. 5.2.1, preferably side walls 222, 223, 224, 225and bottom 226 may be formed or configured with a plurality or set ofholes such as apertures 240 to enable steam or other sterilant to flowthrough apertures 240 formed in side walls 222, 223, 224, 225 and bottom226 and permeate the entire interior of tray bottom 220. Furthermore,such sterilant may pass up, under and over the surgical instruments Ipositioned in tray bottom 220, thus ensuring effective sterilization.

Preferably, tray bottom 220 includes two or more wire handles such ashandle wire 230 configured generally in a u-shape. Handle wire 230 ispreferably positioned approximate an interior side of one of side walls222, 223, 224, or 225 (preferably 223 and 225) and removably affixedthereto and configured to enable swivel movement of handle wire 230about a plate such as handle retainer plate 232. At least two handleretainer plates 232 are preferably affixed to side walls 223 and 225 byan attachment device such as machined screw 234 positioned throughmachined apertures 236 configured in side walls 223 and 225. Handlewires 230 are preferably affixed to side walls 223 and 225 to facilitatethe lifting, carrying and positioning of tray bottom 220.

Furthermore, any of side walls 222, 223, 224, 225 and bottom 226 mayinclude an identifying legend such as indicia 231 to enableidentification of the surgical instruments I contained therein or thesurgical procedure identified with the set or group of surgicalinstruments I contained within tray bottom 220, surgical kitidentification, dates of sterilization, dates of expiration, modelnumber, serial number, ownership and the like.

Referring now to FIG. 5.2.2 there is illustrated a perspective view ofan example embodiment surface, lid or cover, such as tray top 320 of thesurgical instrument support tray system 10. Preferably, tray top 320 maybe configured as a box top, cover, closure or lid for tray bottom 220 inwhich surgical instruments I may be positioned, removably affixedthereto, sterilized, transported and stored for later use. Tray top 320comprises four generally perpendicular, downwardly projecting,continuous, planar member(s), surface(s) or side(s) arranged preferablyas a rectangle or square, such as side walls 322-325. Side walls 322-325preferably define a top having perimeter 227 configured to engage,surround, or friction fit side walls 222-225 of tray bottom 220 to forman enclosure in which surgical instruments I may be positioned,removably affixed thereto, sterilized, transported and stored for lateruse. It is contemplated herein that tray bottom 220 and tray top 320 mayinclude a latch mechanism to secure tray bottom 220 and tray top 320 toone another. Furthermore, any of side walls 322, 323, 324, 325 and/ortop 326 may be configured as a support member for surgical instrumentsI, such as top 326.

Likewise, side walls 322, 323, 324, 325 and top 326 may be formed orconfigured with a plurality or set of holes such as apertures 340 toenable steam or other sterilant to flow through apertures 340 formed inside walls 322, 323, 324, 325 and top 326 and permeate the entireinterior of tray top 320 and into the interior of tray bottom 220.Furthermore, such sterilant may pass down through tray top 320 and overthe surgical instruments I positioned in tray bottom 220, thus ensuringeffective sterilization.

It is contemplated herein that tray bottom 220 and tray top 320 may beconfigured in shapes other than square and rectangle provided suchconfiguration enables sterilization, transport and storage for later useof surgical instruments I.

Referring again to FIG. 5.2.2, preferably top 326 of tray top 320includes regularly spaced columns or rows of a plurality or set offurrows, trenches, channel or troughs, such as valleys 650 formedtherein top 326. Valleys 650, such as first valley 651 and second valley652, are formed as a pair of columns in top 326 of tray top 320, and arepreferably configured as a furrows, trenches, channel or troughs shapepositioned parallel to side walls 323 and 325, into which portions ofsurgical instrument I, preferably ring handles R may be held orpositioned.

Preferably, ring handles R may be positioned and/or held in a desiredand evenly spaced position therein valleys 650 preventing surgicalinstrument I from coming into contact with one another, intermingling,and enabling easy identification, cleaning, sorting, counting, andgrouping of surgical instruments I. Valleys 650 are preferably formed insets of two to accommodate stringer 100 and a group of ring handles R ofsurgical instruments I bound together by stringer 100. Moreover, one ormore pins, plugs, screws, rivets, bolts, clips or other fastener, suchas stringer attachment device 700 may be utilized to affix stringer 100and/or a group of surgical instruments I bound together by stringer 100to tray top 320. It is contemplated herein that stringer attachmentdevice 700, more specifically first attachment device 702 and secondattachment device 704, may affix stringer 100 or a group of surgicalinstruments I bound together by stringer 100 to one or more apertures340 in side walls 322, 323, 324, 325 and/or top 326, especiallyapertures 340 adjacent perimeter 227.

Referring now to FIG. 5.3.1 there is illustrated a top view of anexample embodiment lid or cover, such as tray top 320 of the surgicalinstrument support tray system 10.

Preferably top 326 of tray top 320 includes regularly spaced S columnsor rows of a plurality of valleys 650, such as first valley 651, secondvalley 652, third valley 653 and the like, formed therein top 320.Valleys 650 are preferably spaced S distance apart to accommodate, cupand support ring handles R of surgical instrument I therein. Inaddition, valleys 650 are preferably spaced S distance apart to maintainsurgical instrument I in open position O, shown in FIG. 4. Preferablytop 326, includes valleys 650, as a pair, such as first valley 651 andsecond valley 652, are formed as a pair of columns, and are preferablyconfigured as a furrows, trenches, channel or troughs shape positionedparallel to side walls 323 and 325, into which portions of surgicalinstrument I, such as ring handles R may be positioned or held.Preferably, ring handles R may be positioned and/or held in a desiredand evenly spaced position therein valleys 650 in top 326 preventingsurgical instrument I from coming into contact with one another,intermingling, and enabling easy identification, cleaning, sorting,counting, and grouping of surgical instruments I.

Referring now to FIG. 5.3.3 there is illustrated a cross sectional sideview along AA of tray top, such as tray top 320 of the surgicalinstrument support tray system 10. Preferably top 326 shown from sidewall 324, includes valleys 650, as a plurality of pairs, such as firstvalley 651 and second valley 652 (first pair) and third valley 653 andfourth valley 654 (second pair), each formed as a pair into whichportions of surgical instrument I, preferably one or more sets of ringhandles R may be positioned or held preventing surgical instrument Ifrom coming into contact with one another, intermingling, and enablingeasy identification, cleaning, sorting, counting, and grouping ofsurgical instruments I.

Referring now to FIG. 5.3.2 there is illustrated a side cross sectionalview of tray top 320 along line A-A showing cross sectional of surface326 of the surgical instrument support tray system 10. Preferably,valleys 650, such as second valley 652, third valley 653 and the like,formed therein top 320. Preferably, valleys 650, such as second valley652 includes a curved, arced or bent surface, such as second contouredsurface 662 and end edge 664, and third valley 653 includes thirdcontoured surface 663 and end edge 664. Moreover, therebetween and oneach side of valleys 650, such as second valley 652 and third valley 653there is shown cross sectional of surface 326. Preferably contouredsurfaces, such as second contoured surface 662 and third contouredsurface 663 are formed in top 320 and spaced S distance apart toposition or hold ring handles R in a desired and evenly spaced positionwhen positioned therein valleys 650 to prevent surgical instrument Ifrom coming into contact with one another, intermingling, and enablingeasy identification, cleaning, sorting, counting, and grouping ofsurgical instruments I. It is contemplated herein that second contouredsurface 662 and third contoured surface 663 may be configured or formedas polygon, curved or the like to conform to, position, or hold ringhandles R of surgical instrument I.

Manufacture

Preferably, tray bottom 220, tray top 320 and contoured surface 662 andcontoured surface 663 of valleys 650 are formed as follows: a turretmachine is preferably utilized to punch all apertures 240 and 340 in astock sheet of aluminum or stainless steel and to cut outside perimetershape, such as perimeter 227. Next, “brake press” (a large hydraulicpress machine) is preferably used to press one or more valleys 650 intosurface 326 of tray top 320. Next, the brake press is preferablyutilized to form side walls 322, 323, 324, 325 of tray top 320. It iscontemplated herein that large volumes of production of tray top 320 maybe formed using automated processes known to one of ordinary skill inthe art. For example, preferably utilizing a larger “die” shaped topress all apertures 240 and 340 in a stock sheet of aluminum orstainless steel and to cut outside perimeter shape, such as perimeter227 in in one hit/press. Next, a similar press is preferably utilized topress one or more valleys 650 into surface 326 of tray top 320 and toform side walls 322, 323, 324, 325 of tray top 320 in one hit/press.

It is contemplated herein that tray bottom 220 may be configured orformed with one or more valleys 650, similar to tray top 320, formed inbottom 226 of tray bottom 220, to accommodate ring handles R may, whichmay be positioned and held in a desired and evenly spaced positionpreventing surgical instrument I from coming into contact with oneanother, intermingling, and enabling easy identification, cleaning,sorting, counting, and grouping of surgical instruments I. Referringagain to FIG. 5.3.2 there is illustrated a side cross sectional view oftray bottom 220 showing cross sectional surface 326 of the surgicalinstrument support tray system 10.

Referring now to FIGS. 5.4.1 and 5.4.2 there is illustrated a top andcross sectional view of an example embodiment tray bottom 220.Preferably tray bottom 220 includes one or more fastener, hanger, peg,or arm, such as thumb screw 252 and 254, more specifically thumb screws252A, 252B, 252C, and 252D for insertion in apertures 242A, 242B, 242C,and 242D (shown in FIG. 5.2) of side walls 222 and thumb screws 254A,254B, 254C, and 254D for insertion in apertures 244A, 244B, 244C, and244D (shown in FIG. 5.2) of side walls 224. Thumb screw 252 and 254 arepreferably inserted in apertures 242A, 242B, 242C, and 242D (shown inFIG. 5.2) in side walls 222 and in apertures 244A, 244B, 244C, and 244D(shown in FIG. 5.2) in side walls 224, respectively, and utilized tosupport an inner tray, such as surgical instrument support tray system10.1. It is contemplated herein that surgical instrument support traysystem 10.1 may be color coordinated and/or grouped within surgicalinstrument support tray system 10 for easy identification of assembliesfor specific surgical specialties. Preferably, surgical instrumentsupport tray system 10.1 may be configured or utilized to supportspecialty, random, non-ring handled surgical instruments or othersurgical instruments. It is contemplated that side walls 222 and 224 mayinclude one or more parallel first set of thumb screws 252A, 252B, 252C,and 252D and one or more parallel second set of thumb screws 254A, 254B,254C, and 254D or the like to provide support and accommodate a varietyof configured inner tray(s), such as surgical instrument support traysystem 10.1.

Referring again to FIG. 5.5, preferably top 326 of tray top 320 includesregularly spaced columns or rows of a plurality or set of furrows,trenches, channel or troughs, such as valleys 650 formed therein top326. Valleys 650, such as first valley 651 and second valley 652, areformed as a pair of columns in top 326 of tray top 320, and arepreferably configured as a furrows, trenches, channel or troughs shapepositioned parallel to side walls 323 and 325, into which portions ofsurgical instrument I, preferably ring handles R may be held orpositioned. Preferably, ring handles R may be positioned and/or held ina desired and evenly spaced position therein valleys 650 preventingsurgical instrument I from coming into contact with one another,intermingling, and enabling easy identification, cleaning, sorting,counting, and grouping of surgical instruments I. Valleys 650 arepreferably formed in sets of two to accommodate stringer 100A and agroup of ring handles R of surgical instruments I bound together bystringer 100A. Moreover, one or more pegs, such as that first peg104A.8, second peg 104B.8, third peg 114A.8, and fourth peg 114B.8 maybe utilized to releasably connect or plug stringer 100A and/or a groupof surgical instruments I bound together by stringer 100A to tray top320. It is contemplated herein that one or more pegs, more specificallyfirst peg 104A.8, second peg 104B.8, third peg 114A.8, and fourth peg114B.8, may releasably connect stringer 100A or a group of surgicalinstruments I bound together by stringer 100A to one or more apertures340/340A in side walls 322, 323, 324, 325 and/or top 326, especiallyapertures 340 adjacent perimeter 227 of top 326.

It is contemplated herein that cover or grommet 504A and grommet 514Amay be inserted in one or more apertures 340/340A and configured toreleasably affix or hold one or more pegs, more specifically first peg104A.8 of angle section 104A and third peg 114A.8 of angle section 114Ato prevent angle section 104A and angle section 114A (stationary side ofstringer 100A) from dislodging, during use, from apertures 340/340A intop 326.

Referring now to FIG. 6.1 there is illustrated a perspective view of anexample embodiment of a surgical instrument support tray system 10 withexemplary adjustable stringers 100 shown adjusted in two positionsaffixed to tray top 320 of the surgical instrument support tray system10. Preferably, surgical instrument support tray system 10 includes traybottom 220 and tray top 320, and tray top 320 includes a plurality ofregularly spaced valleys 650 formed therein top 326, such as firstvalley 651, second valley 652, third valley 653, fourth valley 654,fifth valley 655, sixth valley 656, seventh valley 657, and eighthvalley 658. Preferably, stringer 100A is adjusted, positioned, or expandand contract along slidable coupler sections 130A/B/C/D of stringer 100Ato enable x axis X and/or y axis Y parallel adjustment or spacing of therods that form stringer 100A to be positioned approximate first valley651 and third valley 653 of tray top 320. Alternatively, stringer 100Bis adjusted, positioned, or expand and contract along slidable couplersections 130A/B/C/D of stringer 100B to enable x axis X and/or y axis Yparallel adjustment or spacing of the rods that form stringer 100B to bepositioned approximate fifth valley 655 and sixth valley 656 of tray top320. It is contemplated herein that slidable coupler sections 130A/B/C/Dof stringer 100A/B may be adjusted or expand and contract along slidablecoupler sections 130A/B/C/D of stringer 100A/B to enable x axis X and/ory axis Y parallel adjustment, positioning, or spacing of the rods thatform stringer 100A/B to be positioned approximate a pair or a pluralityof valleys 650 of tray top 320.

It is contemplated herein that stringer 100A/B may be color coordinatedand/or grouped within inner tray, such as surgical instrument supporttray system 10.1 and/or surgical instrument support tray system 10 foreasy identification of assemblies for specific surgical specialties.

Referring now to FIG. 6.1A there is illustrated a perspective view of anexample embodiment of tray top 320 with exemplary stringers 100A shownadjusted in two positions affixed to tray top 320. Preferably, tray top320 includes a plurality of regularly spaced valleys 650 formed thereintop 326, such as first valley 651, second valley 652, third valley 653,fourth valley 654, fifth valley 655, sixth valley 656, seventh valley657, and eighth valley 658. Preferably, stringer 100A1 is latched,adjusted, positioned, released, or expands and contracts along connectorsections 130A/B/C/D/E/F of stringer 100A to enable x axis X and/or yaxis Y parallel adjustment or spacing of the rods that form stringer100A1 and to be positioned approximate first valley 651 and secondvalley 652 of tray top 320. Alternatively, stringer 100A2 is latched,adjusted, positioned, released, or expands and contracts along connectorsections 130A/B/C/D/E/F of stringer 100A2 to enable x axis X and/or yaxis Y parallel adjustment or spacing of the rods that form stringer100A2 to be positioned approximate seventh valley 657 and eighth valley658 of tray top 320. It is contemplated herein that connector sections130A/B/C/D/E/F of stringer 100A1/A2 may be latched, released, adjustedor expand and contract along connector sections 130A/B/C/D/E/F ofstringer 100A1/A2 to enable x axis X and/or y axis Y paralleladjustment, positioning, or spacing of the rods that form stringer100A1/A2 to be positioned approximate a pair or a plurality of valleys650 of tray top 320. It is contemplated herein that one or more pegs,more specifically first peg 104A.8, second peg 104B.8, third peg 114A.8,and fourth peg 114B.8, may be releasably positioned or inserted thereinapertures 340/340A to affix stringer 100A1/A2 or a group of surgicalinstruments I bound together by stringer 100A1/A2 to one or moreapertures 340/340A in side walls 322, 323, 324, 325 and/or top 326,especially apertures 340/340A adjacent perimeter 227 of top 326.

It is contemplated herein that stringer 100A1/A2 may be colorcoordinated and/or grouped within inner tray, such as surgicalinstrument support tray system 10.1 and/or surgical instrument supporttray system 10 for easy identification of assemblies for specificsurgical specialties.

It is further contemplated herein that cover or grommet 504A and grommet514A may be inserted in one or more apertures 340/340A of top 326 andconfigured to releasably affix or hold one or more pegs, morespecifically first peg 104A.8 of angle section 104A and third peg 114A.8of angle section 114A of stringer 100A1 and 180 degree rotated first peg104A.8 of angle section 104A and third peg 114A.8 of angle section 114Aof stringer 100A2; thus, to prevent angle section 104A and angle section114A (stationary side of stringer 100A1/A2) from dislodging, during use,from apertures 340/340A in top 326.

Referring now to FIG. 6.2 there is illustrated a perspective view of anexample embodiment of a surgical instrument support tray system 10 witha plurality of surgical instrument sets I held in a vertical position byexemplary adjustable stringers 100A/B affixed or positioned approximateto tray top 320 of surgical instrument support tray system 10.Preferably, surgical instrument support tray system 10 includes traybottom 220 and tray top 320, and tray top 320 includes a plurality ofregularly spaced valleys 650 formed therein top 326. For example,stringer 100A positions and holds ring handle R1 in valley 651 andpositions and holds ring handle R2 in valley 653 of tray top 320 forsurgical instruments IA. Such positioning of surgical instruments IApreferably maintains opposing first jaw member J1 and second jaw membersJ2 in open position O for cleaning and sterilization purposes.Furthermore, such positioning of surgical instruments IA preferablymaintains the instruments in a desired and evenly spaced positionpreventing them from coming into contact with one another,intermingling, and enabling easy identification, cleaning, sorting,counting, and grouping of surgical instruments IA.

As an alternative example, stringer 100B positions and holds ring handleR1 in valley 655 and positions and holds ring handle R2 in valley 656 oftray top 320 for surgical instruments IB. Such positioning of surgicalinstruments IB preferably maintains opposing first jaw member J1 andsecond jaw members J2 of surgical instruments IB in open position O forcleaning and sterilization purposes. Furthermore, such positioning ofsurgical instruments IB preferably maintains the instruments in adesired and evenly spaced position preventing them from coming intocontact with one another, intermingling, and enabling easyidentification, cleaning, sorting, counting, and grouping of surgicalinstruments IB.

Moreover, one or more stringer attachment device 700 may be utilized toaffix stringer 100A/B and/or a group of surgical instruments I boundtogether by stringer 100A/B to tray top 320. It is contemplated hereinthat stringer attachment devices 700, more specifically first stringerattachment devices 700A and second stringer attachment devices 700B, mayaffix stringer 100A/100B or a group of surgical instruments I boundtogether by stringer 100A/B to one or more apertures 340 in top 326,especially apertures 340 adjacent perimeter 227.

Referring now to FIG. 6.2A there is illustrated a perspective view of anexample embodiment of tray top 320 with exemplary stringers 100A1/A2shown adjusted in two positions affixed to tray top 320 with a pluralityof surgical instrument sets I held in a proximately vertical position byexemplary stringers 100A1/A2 affixed, connected, or positionedapproximate to tray top 320. Preferably, tray top 320 includes aplurality of regularly spaced valleys 650 formed therein top 326. Forexample, stringer 100A1 positions and holds ring handle R1 in firstvalley 651 and positions and holds ring handle R2 in second valley 652of tray top 320 for surgical instruments IA. Such positioning ofsurgical instruments IA preferably maintains opposing first jaw memberJ1 and second jaw members J2 in open position O for cleaning andsterilization purposes. Furthermore, such positioning of surgicalinstruments IA preferably maintains the instruments in a desired andevenly spaced position preventing them from coming into contact with oneanother, intermingling, and enabling easy identification, cleaning,sorting, counting, and grouping of surgical instruments IA.

As an alternative example, stringer 100A2 positions and holds ringhandle R1 in valley 657 and positions and holds ring handle R2 in valley658 of tray top 320 for surgical instruments IB. Such positioning ofsurgical instruments IB preferably maintains opposing first jaw memberJ1 and second jaw members J2 of surgical instruments IB in open positionO for cleaning and sterilization purposes. Furthermore, such positioningof surgical instruments IB preferably maintains the instruments in adesired and evenly spaced position preventing them from coming intocontact with one another, intermingling, and enabling easyidentification, cleaning, sorting, counting, and grouping of surgicalinstruments IB.

Moreover, one or more pegs, more specifically first peg 104A.8, secondpeg 104B.8, third peg 114A.8, and fourth peg 114B.8, may be positioned,connected, or inserted in apertures 340/340A to releasably affixstringer 100A1/A2 or a group of surgical instruments IA/IB boundtogether by stringer 100A1/A2 to one or more apertures 340/340A in top326, especially apertures 340/340A adjacent perimeter 227.

Referring now to FIG. 6.3A there is illustrated a perspective view of anexample embodiment of tray top 320 with exemplary stringer 100A shownunlatched in two positions, such as connector sections 130A/B andstringer 100A is further affixed to tray top 320 with a plurality ofsurgical instrument sets I held in a proximately vertical position byexemplary stringers 100A affixed or positioned approximate to tray top320. Preferably, stringer 100A is unlatched in two positions, such asconnector sections 130A/B to enable assembly A1, such as rod 101A, andangle sections 104A/114A to be releasably positioned, affixed orinserted by pegs 104A.8/114A.8 to apertures 340/340A of tray top 320 andto be positioned in regularly spaced valleys 650, such as valley 651,and assembly A2, such as rod 101B, and angle sections 104B/114B to bereleasably positioned, affixed or inserted by pegs 104B.8/114B.8 toapertures 340/340A of tray top 320 and to be positioned in any regularlyspaced valleys 650, such as valley 654. Such configuration enableslonger spanked surgical instrument sets I, such as shank S1 and shankS2, to be positioned with opposing first jaw member J1 and second jawmembers J2 of surgical instruments I in wide open position O for bettercleaning and sterilization purposes and to enable easy identification,pressure washing, sorting, counting, and grouping of surgicalinstruments I. It is contemplated herein that assembly A1, such as rod101A, and angle sections 104A/114A and/or assembly A2, such as rod 101B,and angle sections 104B/114B; may be affixed by receptacle 104A.7 ofsecond connector end 104A.5 of angle sections 104A; receptacle 114A.7 ofsecond connector end 114A.5 of angle sections 114A; protrusion 104B.7 ofsecond connector end 104B.5 of angle sections 104B; and/or protrusion114B.7 of second connector end 114B.5 of angle sections 114B;respectively, configured to preferably match, fit, affix, insert, orlatch apertures 340/340A of tray top 320, especially apertures 340/340Aadjacent perimeter 227. Such configuration enables longer spankedsurgical instrument sets I, such as shank S1 and shank S2, to bepositioned with opposing first jaw member J1 and second jaw members J2of surgical instruments I in wide open position O for better cleaningand sterilization purposes and to enable easy identification, pressurewashing, sorting, counting, and grouping of surgical instruments I.

It is further contemplated that receptacle 104A.7 and receptacle 114A.7may releasably affix to a pin or peg (similar to peg 104A.8) formed intray top 320.

It is further contemplated herein that assembly A1 may be positioned inany of regularly spaced valleys 650 and assembly A2 may be positioned inany other regularly spaced valleys 650.

Referring now to FIG. 6.4A there is illustrated a perspective view of anexample embodiment of tray top 320 with exemplary stringer 100A shownunlatched in two positions, such as connector sections 130A/B (shown inFIG. 3) and stringer 100A is further releasably affixed to tray top 320with a plurality of surgical instrument sets IA/B held in a proximatelyvertical position by exemplary stringers 100A releasably affixed orpositioned approximate to tray top 320. Preferably, stringer 100A isunlatched in two or more positions, such as connector sections 130A/B(shown in FIG. 3) and at least slidably adjusted by connector sections130C/F (shown in FIG. 3) of stringer 100A to enable assembly A1, such asrod 101A, and angle sections 104A/114A (shown in FIG. 6.3A) to bereleasably affixed by pegs 104A.8/114A.8 (shown in FIG. 3) to apertures340/340A of tray top 320 and to be positioned in regularly spacedvalleys 650, such as valley 651, and at least slidably adjusted byconnector sections 130D/E (shown in FIG. 3) of stringer 100A to enableassembly A2, such as rod 101B, and angle sections 104B/114B (shown inFIG. 3) to be releasably affixed by pegs 104B.8/114B.8 (shown in FIG. 3)to apertures 340/340A of tray top 320 and to be positioned in regularlyspaced valleys 650, such as across valleys 653 and 654.

Such configuration enables shorted shanked surgical instrument sets I,such as shank S1 and shank S2 of surgical instruments IA and longershanked surgical instrument sets IB, such as shank S1 and shank S2 ofsurgical instruments IB, to be to be grouped on a common stringer 100Aand positioned with opposing first jaw member J1 and second jaw membersJ2 of surgical instruments IA/B in wide open position O for bettercleaning and sterilization purposes and to enable easy identification,pressure washing, sorting, counting, and grouping of surgicalinstruments IA/B. It is further contemplated herein that assembly A1,such as rod 101A, and angle sections 104A/114A and/or assembly A2, suchas rod 101B, and angle sections 104B/114B (shown in FIG. 6.3A) may beaffixed by receptacle 104A.7 of second connector end 104A.5 of anglesections 104A; receptacle 114A.7 of second connector end 114A.5 of anglesections 114A; protrusion 104B.7 of second connector end 104B.5 of anglesections 104B; and/or protrusion 114B.7 of second connector end 114B.5of angle sections 114B; (shown in FIG. 3) respectively, configuredpreferably to match, fit, affix, insert, or latch any of apertures340/340A of tray top 320, whether apertures 340/340A are adjacentperimeter 227 or positioned interior to perimeter 227. Suchconfiguration enables shorter shanked surgical instrument sets I, suchas shank S1 and shank S2 of surgical instruments IA and longer shankedsurgical instrument sets IB, such as shank S1 and shank S2 of surgicalinstruments IB to be positioned with opposing first jaw member J1 andsecond jaw members J2 of surgical instruments IA/B in wide open positionO for better cleaning and sterilization purposes and to enable easyidentification, pressure washing, sorting, counting, and grouping ofsurgical instruments IA/B. Moreover, stringer 100A accommodates shortershanked surgical instrument sets IA and longer shanked surgicalinstrument sets IB, on one stringer 100 in wide open position O forbetter cleaning and sterilization purposes and to enable easyidentification, pressure washing, sorting, counting, and grouping ofsurgical instruments IA/B.

Referring now to FIG. 7.1 there is illustrated an exploded perspectiveview of the attachment device of FIG. 5.2.2. Preferably, stringerattachment device 700 includes pan head bolt 780, coil spring 760,cylindrical spacer 740, clip 720 and threaded end cap 710. One or morestringer attachment devices 700 may be utilized to affix a portion ofstringer 100 and/or a group of surgical instruments I bound together bystringer 100 to tray top 320.

It is contemplated herein that stringer attachment device 700 includesother configurations of attachment devices known to one of ordinaryskill in the art.

Referring now to FIG. 7.2 there is illustrated a perspective view of anexemplary alternate stringer attachment device 801. Referring now toFIG. 7.2.2 there is illustrated a perspective view of an alternatestringer attachment device 801 that preferably includes releasablyfriction clip, snap-in clasp, or channel, such as trough 802 havingfirst trough wall 804 and second trough wall 806, base 807, and pin,dowel, threaded bolts, screws, pine tree plugs or the like, such as pegs808. Referring now to FIG. 7.2.3 there is illustrated a side view of analternate stringer attachment device 801 having pegs 808, base 807, andfirst trough wall 804. Referring now to FIG. 7.2.1 there is illustrateda perspective view of one or more exemplary alternate stringerattachment device 801 in combination with stringer attachment device 700in use. Preferably, alternate stringer attachment device 801 ispositioned on top 326 of tray top 320 and aligned with apertures 340 intop 326, especially apertures 340 adjacent perimeter 227. Moreover, pegs808 are preferably pushed through apertures 340 adjacent perimeter 227and friction fit therein to top 326 or secured thereto top 326 by nutsor other attachment mechanism know to one of ordinary skill. One or morealternate stringer attachment device 801 may be utilized to affix orfrictionally secure a portion of stringer 100 and/or a group of surgicalinstruments I bound together by stringer 100 to tray top 320.

Procedure

Referring again to FIG. 7.2.1 there is illustrated either stringerattachment device 700 or alternate stringer attachment devices 801affixed to tray top 320, which may be additionally utilized to positionand frictionally affix one end, side, rod or section of stringer 100,such as slidable coupler section 130A, of stringer 100 to tray top 320while the other end, of stringer 100 is swung or hinged up or verticallypositioned with rods 102A and 102B perpendicular or adjacent to top 326of tray top 320. Moreover, slidable coupler sections 130C and 130D maybe temporarily removed to enable stringing of ring handles R of surgicalinstrument I onto rods 102A and 102B. Once ring handles R of surgicalinstrument I have preferably been strung onto rods 102A and 102Bslidable coupler sections 130C and 130D may be reattached to stringer100 to group together surgical instruments I and stringer 100.Preferably, stringer 100 is adjusted or expand and contract alongconnector 130A/B/C/D/E/F of stringer 100 to position stringer 100approximate valleys 650 and thereafter the other end, such as connector130B of stringer 100 is re-affixed to either stringer attachment device700 or alternate stringer attachment devices 801, as shown in FIG. 6.

Referring to FIG. 8 there is illustrated a flow diagram 800 of a methodof organizing, sorting, identifying, grouping, counting, cleaning,pressure washing, sterilizing, and storing prior to surgical use withdecreased damage to surgical instruments, and decreased assembly timefor sterile surgical instrument sets utilizing, in step 805, providingstringer 100/100A and surgical instrument support tray system 10, shownin FIGS. 1-7.

In block or step 810 and as described above in FIGS. 1-7, uponcompletion of surgery the operating personnel break down the surgicalcase and the surgical instruments I are sorted and stringer 100/A rods,such as rods 101A/102A and 101B/102B may be inserted in ring handles Rof surgical instruments I to group the set of surgical instruments I bystringing a row of ring handles R of surgical instruments I or by theprocedure above for stringer attachment device 700 or attachment devices801. The grouped set of surgical instruments I may be positioned invalleys 650, step 815 and 830, by adjusting stringer 100/A wherein thesurgical instruments I may be identified, counted, sorted and positionedin an organized, parallel relationship in valleys 650 to form a set orgroup of surgical instruments I. While surgical instruments I have beenretained, even spaced with open jaw by stringer 100/A and surgicalinstrument support tray system 10 an assembler may quickly inspect,identify, sort, count, disengage any of the surgical instruments I forfurther inspection and operational testing, and grouping of surgicalinstruments I (inspecting step 835). Thus, surgical instrument supporttray system 10 reduces the time spent cleaning, sorting, counting,identifying and grouping surgical instruments I, extends the lifeexpectancy of the surgical instruments, and enables thorough cleaning ofthe surgical instruments.

In block or step 820, surgical instruments I may be gathered together onone end of stringer 100, stringer 100 may be contracted or adjusted, andlaid as a group of surgical instruments I on bottom 226 of tray bottom220 and tray top 320 may be positioned on tray bottom 220 wherein thebasket-like housing or enclosure maintains surgical instruments I in anorganized and secure position for sterilization, transportation andstorage for later use.

In block or step 830, the grouped set of surgical instruments I may beremoved from tray bottom 220 and the grouped set of surgical instrumentsI may be positioned in or across valleys 650 on tray top 320 byadjusting stringer 100 wherein the surgical instruments I may beretained in parallel or nonparallel, evenly spaced and an open jawposition by surgical instrument support tray system 10. In suchposition, the grouped set of surgical instruments I may be sprayed andevenly coated with an enzymatic to begin breaking down post-surgerycontaminants (pre-washing step 840).

In block or step 832, the grouped set of surgical instruments I may bepositioned in or across valleys 650 on tray top 320 by adjustingstringer 100A wherein the surgical instruments I may be retained inparallel or nonparallel, evenly spaced and an open jaw position bysurgical instrument support tray system 10 by releasably affixing orinserting pegs 104A/B.8/114A/B.8 to or in apertures 340/340A of tray top320, and configured to accommodate shorter shanked surgical instrumentsets IA and longer shanked surgical instrument sets IB, on one stringer100A in wide open position O for better cleaning and sterilizationpurposes and to enable easy identification, pressure washing, sorting,counting, and grouping of surgical instruments IA/B.

In block or step 840, the grouped surgical instruments I and stringer100 may be pre-washed by submerging into a detergent pre-wash solutionor sonification system. In addition, grouped surgical instruments I maybe positioned in valleys 650 (step 830) on tray top 320 by adjustingstringer 100 (step 820) wherein the surgical instruments I may bescrubbed or pressure washed to remove any visible contaminants remainingpost-surgery and inspected for completeness (pre-washing step 840).

In block or step 850, surgical instruments I may be gathered together onone end of stringer 100, stringer 100 may be contracted or retracted(step 850) with retained parallel spaced and open jaw surgicalinstruments I, and/or laid as a group of surgical instruments I onbottom 226 of tray bottom 220 and tray top 320 may be positioned on traybottom 220 wherein the grouped surgical instruments I or basket-likehousing or enclosure with surgical instruments I in an organized andsecure position and open jaw surgical may be washed in a commercialwasher/disinfector (step 845). Since surgical instruments I are retainedin parallel, evenly spaced and in an open jaw position this enables evenaccess of detergents and uniform cleaning of surgical instruments I by acommercial washer/disinfector.

In block or step 830, the grouped set of surgical instruments I may beremoved from tray bottom 220 and the grouped set of surgical instrumentsI may be positioned in or across valleys 650 on tray top 320 byadjusting stringer 100 wherein the surgical instruments I may beretained in parallel, evenly spaced and an open jaw position by surgicalinstrument support tray system 10. While retained an assembler inspects,identifies, sorts and counts surgical instruments I (step 835). Sincesurgical instruments I have been previously retained in parallel, evenspaced with open jaw on surgical instrument support tray system 10 anassembler may quickly inspect, identify, sort, count, disengage any ofthe surgical instruments I for further inspection and operationaltesting, and finally grouping of surgical instruments I. Moreover, ifone or more surgical instruments I is to be removed or added to thebundled or retained set of surgical instruments I the procedure outlinedabove for stringer attachment device 700 or alternate stringerattachment devices 800 may be utilized to add or remove surgicalinstruments I. Thus, surgical instrument support tray system 10 andstringer 100/A reduces the time spent cleaning, sorting, counting,identifying and grouping surgical instruments I, extends the lifeexpectancy of the surgical instruments, and enables thorough cleaningand decontamination of the surgical instruments.

In addition, surgical instrument support tray system and stringer 100/Apreferably reduces the number of sharps being bundled or hidden with thesurgical instruments I and being sent to sterile central.

In block or step 820 and 850, surgical instruments I may be gatheredtogether on one end of stringer 100/A, stringer 100/A may be contractedwith retained parallel spaced and closed jaw surgical instruments I, andlaid as a group of surgical instruments I on bottom 226 of tray bottom220 and tray top 320 and may be positioned on tray bottom 220 whereinthe grouped surgical instruments I or basket-like housing or enclosurewith surgical instruments I in an organized and secure position and openjaw surgical may be wrapped, containerized (placed in a sterilizationcontainer, such as a basket with detachable lid) or stacked for sterileprocessing/distribution. Surgical instrument support tray(s) system 10with stringer 100/A retained parallel spaced and open jaw surgicalinstruments I may be sterilized (step 855) in a commercial sterilizerusing steam or other sterilant. The sterilant may access surgicalinstruments I via a plurality or set of holes such as apertures240/340/440 in surgical instrument support tray system 10 to enablethorough cleaning and sterilization of surgical instruments. Oncesterilized, surgical instrument support tray(s) system 10 with stringer100 retained parallel spaced and open jaw surgical instruments I may beplaced in inventory for future surgical use (step 860).

The foregoing description and drawings comprise illustrative embodimentsof the present invention. Having thus described exemplary embodiments,it should be noted by those ordinarily skilled in the art that thewithin disclosures are exemplary only, and that various otheralternatives, adaptations, and modifications may be made within thescope of the present invention. Merely listing or numbering the steps ofa method in a certain order does not constitute any limitation on theorder of the steps of that method. Many modifications and otherembodiments of the invention will come to mind to one ordinarily skilledin the art to which this invention pertains having the benefit of theteachings presented in the foregoing descriptions and the associateddrawings. Although specific terms may be employed herein, they are usedin a generic and descriptive sense only and not for purposes oflimitation. Moreover, the present invention having been described indetail, it should be understood that various changes, substitutions andalterations can be made thereto without departing from the spirit andscope of the invention as defined by the appended claims. Accordingly,the present invention is not limited to the specific embodimentsillustrated herein, but is limited only by the following claims.

Therefore, at least the following is claimed:
 1. An adjustable stringerconfigured to string one or more surgical instruments having a firstring handle and a second ring handle, said stringer comprising: two ormore rod sections, wherein a first rod section is configured to beinserted in the first ring handle of the one or more surgicalinstruments and a second rod section is configured to be inserted in thesecond ring handle of the one or more surgical instruments; two or moreangle sections, each said angle section configured having one or moreslidable connector sections, each said one or more slidable connectorsection configured to extend and retract along at least one of said twoor more rod sections; and two or more releasable connectors, each saidreleasable connector positioned between two of said two or more anglesections.
 2. The adjustable stringer of claim 1, wherein said one ormore slidable connector sections are configured as adjustable in a firstaxis.
 3. The adjustable stringer of claim 2, wherein said two or morereleasable connectors are configured to release in a second axis.
 4. Theadjustable stringer of claim 3, wherein said one or more slidableconnector sections and said two or more releasable connectors areconfigured as adjustable in one of said first axis and said second axis.5. The adjustable stringer of claim 3, wherein said one or more slidableconnector sections and said two or more releasable connectors areconfigured as rectangular.
 6. The adjustable stringer of claim 3,wherein said one or more slidable connector sections and said two ormore releasable connectors are configured as trapezium.
 7. Theadjustable stringer of claim 3, wherein said one or more slidableconnector sections and said two or more releasable connectors areconfigured as trapezoid.
 8. The adjustable stringer of claim 1, whereinat least one of said two or more angle sections further comprises a peg.9. The adjustable stringer of claim 8, wherein said peg is positionedperpendicular to said at least one of said two or more angle sections.10. A method of organizing one or more surgical instruments having apair of ring handles, the pair of ring handles includes a first ringhandle and a second ring handle, comprising the steps of: providing astringer having two or more rod sections, two or more angle sections,each said angle section configured having one or more slidable connectorsections, each of said one or more slidable connector section configuredto extend and retract along at least one of said two or more rodsections, each said angel section further configured having at least onepeg, and two or more releasable connectors, each said releasableconnector positioned between two of said two or more angle sections;inserting a first rod section of said two or more rod sections in thefirst ring handle of the one or more surgical instruments and a secondrod section of said two or more rod sections in the second ring handleof the one or more surgical instruments; providing a surface configuredto support the one or more surgical instruments, said surface furthercomprises a plurality of holes configured to enable sterilant to flowtherethrough; adjusting said two or more slidable connector sections ofsaid stringer to position said peg adjacent one of said plurality ofholes; and positioning said at least one peg in one of said plurality ofholes to releasably retain the ring handles of the surgical instrumentsevenly spaced in an open jaw position.
 11. The method of claim 10,further comprises the step of inspecting the surgical instruments. 12.The method of claim 10, further comprises the step of pre-washing thesurgical instruments.
 13. The method of claim 10, further comprises thestep of washing the surgical instruments.
 14. The method of claim 10,further comprises the step of retracting said two or more slidableconnector sections to group together the pair of ring handles of thesurgical instruments and position the surgical instruments thereon saidsurface with the surgical instruments in an open jaw position.
 15. Themethod of claim 10, further comprises the step of sterilizing thesurgical instruments in said open jaw position.
 16. The method of claim10, reducing a time increment to clean the surgical instruments.
 17. Themethod of claim 10, reducing a number of sharps bundled with thesurgical instruments.